Scale Chronic Care Management Without Adding Staff
Hana gives care teams a smarter way to deliver, document, and bill for high-quality chronic care—using voice AI patients trust, and structured workflows built for providers.
Care Teams Are Stretched. CCM Makes It Worse—Unless It's Automated.
Delivering chronic care requires more than one visit a year. But manual check-ins, symptom tracking, and documentation overload already-burdened staff. Hana fixes that by making care continuous, structured, and billable—without more admin.
Weekly Voice Check-ins
No app required. Patients get personalized calls that track symptoms, meds, and goals.
Smart Documentation
Every interaction is logged and mapped to CPT codes automatically.
Risk Monitoring
Catch problems early with automated PHQ-9 screening and symptom tracking.
Billing Automation
Clean claims for 99490, 99491, and 99439 without extra work.
Patient Journey with Hana
Follow Maria Rodriguez's journey: A 72-year-old patient managing Type 2 Diabetes, Hypertension, and Depression with Hana's AI-assisted care team.
Phase 1: Screening & Consent
AI Voice Agent
- Screens for chronic conditions
- Explains program benefits and copay risks
- Records verbal consent
Required Human Tasks
- RN reviews AI call transcript (2-3 min)
- Confirms eligibility for CCM and BHI
- Logs consent in EHR
CMS Compliance:Verbal consent accepted if documented
Phase 2: Care Plan Drafting
AI Voice Agent
- Collects PHQ-9, medications, patient goals
- Identifies risk flags
- Generates draft care plan
Required Human Tasks
- RN reviews and approves care plan (5-7 min)
- Confirms clinical priorities
- Sets up care protocols
CMS Compliance:Care plan must be approved by clinical staff
Phase 3: Monthly Care Cycle
AI Voice Agent
- Conducts regular check-ins
- Monitors blood sugar, mood, sleep
- Alerts RN of concerning changes
Required Human Tasks
- Reviews AI summaries (5 min)
- Direct patient follow-up (10 min)
- Care plan updates (5 min)
CMS Compliance:20+ minutes of documented non-face-to-face care
Phase 4: Ongoing Adaptive Care
AI Voice Agent
- Delivers monthly assessments
- Flags missed medications
- Adjusts engagement based on goals
Required Human Tasks
- Reviews trends (3 min)
- Patient calls (10-12 min)
- Plan updates (5 min)
CMS Compliance:Maintains audit-ready time logs and notes
Monthly Financial Summary
Revenue
$129
CCM + BHI Reimbursement
Net Profit
$92
After costs & overhead
Supporting Patients Across Multiple Conditions
Hypertension
Hana tracks blood pressure, medication use, and lifestyle habits to keep hypertension under control and flag early risks.
Diabetes
Hana checks in weekly to monitor glucose adherence, diet, and symptoms, helping clinics catch issues before escalation.
Congestive Heart Failure (CHF)
Hana listens for early signs like fatigue and swelling, enabling timely interventions and reducing hospital visits.
Chronic Kidney Disease (CKD)
Hana helps monitor symptoms, fluid balance, and medication adherence, supporting consistent care for CKD patients.
COPD
Hana tracks breathlessness, inhaler use, and flare-ups to support better self-management and timely care.
Depression / Anxiety (BHI)
Hana administers mood screenings and tracks progress, keeping patients engaged and clinicians informed.
Dementia
Hana supports dementia care with gentle check-ins, memory prompts, and caregiver alerts for cognitive changes.
Chronic Pain
Hana helps patients track pain patterns and flare-ups, giving providers clearer insight for better pain management.
Real Outcomes, Real Impact
Patients consistently answer Hana's voice check-ins
Automated check-ins and documentation save staff time
Additional CCM billing captured automatically
Better engagement means better retention
Built for Clinical Excellence
HIPAA-Compliant
Secure data handling and storage
CMS Audit-Ready
Structured documentation for compliance
Care Team Support
24/7 clinical operations team
What Our Users Say
Real stories from people using Hana to manage their health and well-being
"Hana gave me structure when everything felt messy. It's not a chatbot—it actually feels like someone's checking in on me."
"Hana helped me build better habits without the guilt or pressure. It's just consistent support when I need it most."
"I don't have time to journal or track my moods. But I always answer Hana's call. It feels real—like someone's on my side."
"I've tried everything—apps, notes, even spreadsheets. Hana is the only thing I've stuck with. It talks to you. It remembers."
"I never thought I'd connect with something like this. But Hana helps me check in with myself, even on busy days."
"Being a doctor doesn't mean I manage my own stress well. Hana helps me slow down, even if just for five minutes."
Ready to Transform Your CCM Program?
Let us show you how Hana can help your team deliver better chronic care while capturing more revenue.